Mia Marie Gardner
Individual provider Active NPI Case Manager/Care Coordinator · Viroqua, WI
NPI 1952583437 · NPPES record last updated Nov 27, 2007
Key facts
- NPI
- 1952583437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1321 N Main St
Viroqua, WI 54665-1156 - Phone
- (608) 637-7052
- Fax
- (608) 637-8500
- NPI assigned
- Nov 27, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family & Children'S Center, Inc. | Past | Accepting new patients | |
| Family Service of Winona | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1321 N Main St
Viroqua, WI 54665-1156
Mailing address
66 E 3Rd St
201
Winona, MN 55987-3478
Phone (507) 452-7292
Other providers in Viroqua, WI
- Thomas L Franke
- Fritsch Health Services Inc
- Kathryn M Frydenlund
- Jheri Fushianes
- Debra Michelle Gallagher
- Jerrodf Lee Getter
- Angela Tracey Goltz
- Kelsey Granzow
- Paul Stewart Grenier
- Sarah Ann Gronemus
All providers in Viroqua, WI · Case Manager/Care Coordinator in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.